HC3 meets monthly to stay updated on current underage substance use trends, to participate in educational opportunities, to review relevant data, to determine priorities, and to establish overarching goals for the coalition. 

There are four Task Force groups (Alcohol Task Force, Marijuana Task Force, Opiate Task Force, and Tobacco Task Force) which meet on a regular basis to assess, build capacity, plan, implement, and evaluate strategies for those specific substances utilizing evidence based programs and activities.

The Coalition is also supported by the Publicity Committee who works to share the work of the coalition and task forces. Additionally the coalition is fortunate to have many Coalition Champions, individuals or organizations, within the community, who do not attend meetings but work with the coalition on a specific strategy or event.